Nadine Dorries: The national guardians scheme involves 500 healthcare professionals, who are identified by their lanyards alone to show that they are people to whom whistleblowers can speak both independently and in complete confidence. I think that is important because those people are in the NHS—the private sector has rolled out its own similar system—and people can see  them, identify them and act immediately. Sometimes things are left for another time or place, but when people see somebody act inappropriately or in a way they should not, we want to know that they speak out about it immediately.
I will say it again: we want people to speak up, we want trusts and the private sector to listen, and then we want to act. It is the case that we can change this culture and let whistleblowers know that we will protect them. We also have a line at the Department for people to ring in on, because we want to hear from them. There is only one way we can guarantee patient safety, and that is to know where inappropriate practice is taking place so that we can stop it. We absolutely open our door to whistle- blowers, and we want to hear what they have to say.

Nadine Dorries: There was actually quite a long process. As I say, Paterson practised between 1997 and 2011, and there was quite a long process of reporting and of concerns being raised about his behaviour and his practice. Eventually, somebody listened; I believe that it was a new chief executive at the Spire hospital trust at the time. Somebody spoke out to him, he looked at the history of what had happened and he decided to take action. That is not good enough, however, because reports had been made on a number of occasions previously. In fact, there were two reports. One, by a consultant, looked at 100 of his cases in 2011, but no action was taken. Another report, by another NHS consultant, downplayed and focused on the wrong elements of Paterson’s care, and it took somebody to speak to a new chief executive for action to be taken. The process was all wrong, but that is how it was then, and it is very different now.
As I have said, the GMC has introduced revalidation and appraisal. We have been speaking to it, and we want it to make that process more robust so that we can assess doctors in a more appropriate and frequent way. The CQC is holding the private sector to account, as well as the NHS. Those of us who have been here for more than a few years know that a few years ago the CQC was not the organisation that it is today, and it is now much more robust and effective. We therefore hope that we can pick up cases such as this as they happen. However, the only way to crack patient safety in this country is if somebody who is practising alongside a surgeon, doctor or nurse speaks out, and for those to whom they speak to listen, so that we can act.